Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.93 / $4,796.00 / $9,539.00	Facility		$1,768.93	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.50 / $1,768.93 / $2,339.83	Professional		$1,472.50	$1,768.93	$2,339.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.89 / $1,800.14 / $2,509.04	Professional		$1,413.89	$1,800.14	$2,509.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,889.65 / $2,055.05 / $4,007.35	Professional		$1,889.65	$2,055.05	$4,007.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.47 / $2,090.55 / $3,573.08	Professional		$1,543.47	$2,090.55	$3,573.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.79 / $1,744.55 / $2,151.61	Professional		$1,453.79	$1,744.55	$2,151.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,732.15 / $2,182.44 / $3,179.21	Facility		$1,732.15	$2,182.44	$3,179.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,975.00 / $2,229.66 / $3,574.75	Professional		$1,975.00	$2,229.66	$3,574.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,526.45 / $2,070.00 / $4,462.00	Facility		$1,526.45	$2,070.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,526.45 / $2,070.00 / $4,462.00	Professional		$1,526.45	$2,070.00	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.69 / $2,180.03 / $3,443.03	Professional		$1,384.69	$2,180.03	$3,443.03